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1609265669
JUDE CODILLA
LONG BEACH, CA
NPI
1609265669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 8663)
Enumeration Date
2015-01-14
Last Update Date
2015-01-14
Business Address
-- JUDE CODILLA
260 E MARKET ST
LONG BEACH, CA 90805-5910
Phone number: 562-428-4681
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Mailing Address
-- JUDE CODILLA
260 E MARKET ST
LONG BEACH, CA 90805-5910
Phone number:
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